Genvieve Nicole Bennett
Genvieve Nicole Bennett is a Massage Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
4771 Trier RdFort Wayne, IN 46815-4968
Phone: (260) 492-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT21906886 (IN) |
|---|
Record details
| NPI number | 1306492079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 17, 2019 |
| Last updated in NPPES | August 17, 2019 |
| Mailing address | 4771 Trier Rd, Fort Wayne, IN 46815-4968 |
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